2018
DOI: 10.1002/brb3.1092
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Clinical and laboratory factors related to acute isolated vertigo or dizziness and cerebral infarction

Abstract: ObjectiveTo clarify the relationship of clinical factors with isolated vertigo or dizziness of cerebrovascular origin.MethodsClinical data of patients admitted in East Hospital from Jan. 2015 to Apr. 2016, whose complaint were acute vertigo or dizziness were retrospectively collected. All patients arrived at the emergency department within 24 hr of symptom onset, had no acute ischemic lesion first CT and NIHSS score of 0. Patients were divided into cerebral infarction group and noncerebral infarction group acc… Show more

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Cited by 20 publications
(28 citation statements)
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“…It might be speculated that women were more prone to develop vascular vertigo, and hence, the male proportion among our vertigo (+) stroke patients was diluted. In line with our findings, previous studies found male proportion of 55%–57% among patients with acute vascular vertigo (Kerber et al, ; Zuo et al, ). In the current work, the infarction volume was insignificantly larger in women.…”
Section: Discussionsupporting
confidence: 93%
See 2 more Smart Citations
“…It might be speculated that women were more prone to develop vascular vertigo, and hence, the male proportion among our vertigo (+) stroke patients was diluted. In line with our findings, previous studies found male proportion of 55%–57% among patients with acute vascular vertigo (Kerber et al, ; Zuo et al, ). In the current work, the infarction volume was insignificantly larger in women.…”
Section: Discussionsupporting
confidence: 93%
“…NIHSS score is lower among patients with vertebrobasilar stroke in comparison to those with stroke in the anterior circulation (Inoa, Aron, Staff, Fortunato, & Sansing, ; Sarraj et al, ; Sato et al, ). This can be explained by the fact that several clinical manifestations related to the posterior circulation like vertigo, nystagmus, nausea, or vomiting are not considered in NIHSS (Zuo et al, ), but may lead to a worse score on mRS or Barthel index. For example, a patient with vertebrobasilar stroke presenting with severe vertigo may have an NIHSS score of 0 but a mRS score of 3, if he requires some help for the activities of daily living.…”
Section: Discussionmentioning
confidence: 99%
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“…Many studies have reported elevated serum NSE concentrations in a variety of conditions associated with CNS damage, such as stroke, traumatic brain injury, Alzheimer's disease, and multiple sclerosis (43)(44)(45)(46). Similar to our findings, increased serum NSE has been also reported to be the strongest indicator of acute cerebral infarct in patients presenting to the ER with acute isolated vertigo or dizziness (47).…”
Section: Discussionsupporting
confidence: 89%
“…NSE is an isoform of glycolytic enzyme, which expression changes in acute phase of ischemic stroke [77]. In this process, the NSE serum levels are higher, compared to the hemorrhagic stroke and positive correlation has been reported between the ischemic infarct area and the NSE serum levels in acute phase of stroke.…”
Section: Neuron-specific Enolasementioning
confidence: 99%